Friday, March 23, 2018

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I Just Got Denied Coverage: Now What? How to File an Insurance Appeal for Substance Use Disorder

by Garry Carneal, J.D., Senior Policy Advisor with the Kennedy Forum
Insurance coverage denial
If you’ve already gotten your son or daughter into treatment for his or her substance use disorder, the last thing you should have to worry about is how to pay for it. Unfortunately, many insurers automatically deny coverage in part or in whole for addiction treatment, and you may have to appeal in order to ensure that your child continues to receive the treatment he or she needs and deserves.

Families are often faced with the burden of paying out of pocket for their child’s treatment when they are denied coverage. Understandably, the appeals process can seem daunting. However, persistence pays off. While many people don’t know how to (or choose not to) file an appeal, the U.S. Government Accountability Office found that 39 to 59 percent of internal appeals were reversed in favor of the consumer.

To help you understand how to appeal your denial of coverage or payment for substance use disorder, here’s some advice on how to appeal your denial and simplify the process:

Am I allowed to appeal if insurance denies my claim for my child's treatment?

What if my child’s physician says this treatment is medically necessary for my child’s recovery?

Is there anything I can do before filing an appeal?
Read More on How to File an Appeal

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Parent Toll-Free Helpline1-855-DRUGFREE
drugfree.org

© Partnership for Drug-Free Kids
352 Park Ave South | 9th Floor | New York, NY 10010
 

Important announcement:
We would like to do another very special quilt project this year and we need your help!
This years will be a bit different than the past two we have done. In years past it has been to honor all of our loved ones suffering from substance use disorder and we still do honor them however, I believe that this year the focus should be more about the recovery side and to show that with treatment anything is possible. We want to show that amid all of the tragedy there is hope for our loved ones!
I’m asking for anyone who has a person who is in recovery to submit a quilt square to honor them on this years Recovery Quilt!
Very Important:
The fabric squares must meet the following guidelines to be used.
Each square should be 100% cotton (no stretchy material like t shirts please)
Color must be white for recovery
Size of square should be 5 1/2 by 5 1/2 inches with any design inside the 5x5 area of each square
Photos of your loved ones are great and easy to do. You can also write the persons name and date of recovery with a fabric marker or embroidery using either Red or Black only please.
These MUST be in my mailbox by no later than August 15th 2018 to be used!
I’m asking for an “optional 5.00 donation or whatever you can afford” with your fabric squares to help defray the additional cost of making the quilt. No one should feel obligated to donate but if you can please do and if you can’t, please send me your square anyway because nobody will be left out!
The fabric squares should be sent to:
Jessica Ward
428 Mills Rd
Whitefield Maine 04353
DEADLINE: August 15th, 2018
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News
TCS NYC Marathon
 
Run the 2018 TCS New York City Marathon as a Partnership “Partner for Hope”
The Partnership has been selected as an official Charity Partner of the 2018 TCS New York City Marathon taking place on November 4. As a Partner for Hope, our runners will have guaranteed entry into the marathon by pledging to raise funds on behalf of the Partnership.

Limited spots are available. Join Now
AG Winter Meeting
 
Partnership Presents at National Association of Attorneys General Meeting
We served on a panel at the 2018 National Association of Attorneys General Winter Meeting in Washington, D.C. The panel showcased innovative consumer education efforts and state-based approaches that Attorneys General can implement to provide resources to their constituents.

We presented the Partnership’s direct family support services, including our free resources and Parent Helpline (855-DRUGFREE) to help address opioid use disorders among adolescents and young adults.
IGA Cares Initiative
 
IGA Commits to Another Year of Helping Families Address the Opioid Epidemic
We are proud to announce that our valued partner, IGA USA, is continuing its collaboration with us through their IGA Cares initiative, raising both critical funds and awareness to help parents and families address the nation’s opioid epidemic.

IGA will carry on with a number of in-store fundraising activities, including donating a portion of the sale of specially marked IGA Exclusive Brand products and in-store donations made at registers through participating stores. Learn More
Help Us Continue to Empower Families:
 
ICYMI: Parent Blog Roundup
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Parent Toll-Free Helpline1-855-DRUGFREE
drugfree.org

© Partnership for Drug-Free Kids
352 Park Ave South | 9th Floor | New York, NY 10010
 

Tuesday, March 20, 2018

Eagle Scout, Preacher, Junkie, Overcomer

News-Impact-Advocacy 
 March 13, 2018
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The Council of Southeast Pennsylvania, Inc., 4459 West Swamp Road, Doylestown, PA 18902
Sent by dcatherwood@councilsepa.org in collaboration with
Constant Contact
“I would say to always follow your dream.  And dream big because my whole career, including any of the things that I’ve accomplished, I never thought in a million years that I would be here.  So it proves that once you believe in yourself, and you put your mind to something, you can do it.”  ~~Simone Biles

“However difficult life may seem, there is always something you can do and succeed at.  It matters that you don’t just give up.”  ~~Stephen Hawking

“Whatever you want in life, other people are going to want it too.  Believe in yourself enough to accept the idea that you have an equal right to it.”  ~~Diane Sawyer

Statement #12
 “I am a competent woman, and I have much to give life.”
 
I treasure the moments of my New Life.
Not believing in oneself knows no boundaries; from an Olympic athlete, community leader to a reflection in the mirror, anyone can become discouraged or distressed by feelings of lack or inadequacy.  Substance abuse demolishes the ability to feel able or competent, further decreasing self-worth and self-esteem.

Statement #12 in action increases self-belief.  In our Program Booklet, Jean writes, “Each of us is unique and has something very special to give.  Claiming and accepting our own competence is a vital aspect of our New Life.”  Answering the questions on page 32, “Can you identify your strengths?  Are you aware of moments throughout your life when you were competent?” offer insight into increasing competence.

Balancing a checkbook to solving a complex equation to winning an Olympic medal; are each born from asserting it is possible.  Starting with smaller actions such as making the bed or doing yoga every morning, it is possible to continue to build feelings of believing in the self and knowing it always.

Hugzzz
Karen

Hi 4C Women,

I read that self-esteem is the reputation we have with ourselves that includes self-respect, self-love and self-worth and a measure of how much we like and approve of our self-concept. It contains a wide variety of beliefs and images. Healthy self-esteem does not prevent us from having doubts or feeling occasionally inadequate. It permits us to view ourselves and the world around us realistically and to make wise choices in our lives.  

I use to do a lot of negative self-talk, always apologizing even when there wasn't a reason to, seeking approval from others because I didn't like myself, rejecting compliments and feeling so inadequate. There were those who believed in my abilities long before I did. Drinking quieted the voice in my head that kept telling me these people would soon realize I was a fraud. Fortunately, sobriety helped me build compassion for myself, forgiving my self-doubts and the willingness to continue challenging the inner critic when he appears to knock down my confidence with old messages that are not my truth today.  

So, I think to myself, what do I have to give to life? Where does my competency show in this world? How would you answer these questions?  

List 5 things you admire about yourself. Hopefully this will be easier to answer after completing the questions above.

I am worthwhile because....
I deserve...
I practice Statement 12 by doing ...

Bonded in competency,
4C WFS Member

Don't miss this workshop at the
June 8-10 in Center Valley, PA
Conf 2018
Relapse Prevention
Relapse Prevention planning is basic to recovery. Relapse is a process, not an isolated event. It is more than a return to drinking, it’s a return to negative addictive thinking, feeling, and behavior. Participants will receive handouts that will include an article by WFS founder, Dr. Jean Kirkpatrick, called “Understanding Relapse,” and there will be a role-playing segment so that participants can get involved in responding to events or other triggers.
Sue K/Zeecha (Peer Presenter) – Sue has long-term sobriety from alcohol and other drugs since 1996. She has been the Certified Moderator for the Champaign, IL, WFS group for several years. Many women know Zeecha as the auctioneer from the WFS Conference and her welcoming and friendly self. WFS has been the only program she has ever used. She credits Jean Kirkpatrick as her inspiration.
Christine S-J/CakeLady(Peer Presenter) – Christine has been 4C woman since July of 2015 and is also a stage-trained actress and former SAG member. She will be leading the role-playing segment of this workshop.
Check out Women for Sobriety's Blog Site.
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